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Social networks and risk of delayed hospital arrival after acute stroke
Arriving rapidly to the hospital after a heart attack or stroke is critical for patients to be within time windows for treatment. Prior research in heart attacks has suggested a paradoxical role of the social environment: those who arrive early are surrounded by nonrelatives, while those who arrive...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6418151/ https://www.ncbi.nlm.nih.gov/pubmed/30872570 http://dx.doi.org/10.1038/s41467-019-09073-5 |
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author | Dhand, Amar Luke, Douglas Lang, Catherine Tsiaklides, Michael Feske, Steven Lee, Jin-Moo |
author_facet | Dhand, Amar Luke, Douglas Lang, Catherine Tsiaklides, Michael Feske, Steven Lee, Jin-Moo |
author_sort | Dhand, Amar |
collection | PubMed |
description | Arriving rapidly to the hospital after a heart attack or stroke is critical for patients to be within time windows for treatment. Prior research in heart attacks has suggested a paradoxical role of the social environment: those who arrive early are surrounded by nonrelatives, while those who arrive late are surrounded by spouses or family members. Here, we used network methods to more deeply examine the influence of social context in stroke. We examined the relationship of personal social networks and arrival time in 175 stroke patients. Our results confirmed the paradox by showing that small and close-knit personal networks of highly familiar contacts, independent of demographic, clinical, and socioeconomic factors, were related to delay. The closed network structure led to constricted information flow in which patients and close confidants, absent outside perspectives, elected to watch-and-wait. Targeting patients with small, close-knit networks may be one strategy to improve response times. |
format | Online Article Text |
id | pubmed-6418151 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-64181512019-03-18 Social networks and risk of delayed hospital arrival after acute stroke Dhand, Amar Luke, Douglas Lang, Catherine Tsiaklides, Michael Feske, Steven Lee, Jin-Moo Nat Commun Article Arriving rapidly to the hospital after a heart attack or stroke is critical for patients to be within time windows for treatment. Prior research in heart attacks has suggested a paradoxical role of the social environment: those who arrive early are surrounded by nonrelatives, while those who arrive late are surrounded by spouses or family members. Here, we used network methods to more deeply examine the influence of social context in stroke. We examined the relationship of personal social networks and arrival time in 175 stroke patients. Our results confirmed the paradox by showing that small and close-knit personal networks of highly familiar contacts, independent of demographic, clinical, and socioeconomic factors, were related to delay. The closed network structure led to constricted information flow in which patients and close confidants, absent outside perspectives, elected to watch-and-wait. Targeting patients with small, close-knit networks may be one strategy to improve response times. Nature Publishing Group UK 2019-03-14 /pmc/articles/PMC6418151/ /pubmed/30872570 http://dx.doi.org/10.1038/s41467-019-09073-5 Text en © The Author(s) 2019 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Article Dhand, Amar Luke, Douglas Lang, Catherine Tsiaklides, Michael Feske, Steven Lee, Jin-Moo Social networks and risk of delayed hospital arrival after acute stroke |
title | Social networks and risk of delayed hospital arrival after acute stroke |
title_full | Social networks and risk of delayed hospital arrival after acute stroke |
title_fullStr | Social networks and risk of delayed hospital arrival after acute stroke |
title_full_unstemmed | Social networks and risk of delayed hospital arrival after acute stroke |
title_short | Social networks and risk of delayed hospital arrival after acute stroke |
title_sort | social networks and risk of delayed hospital arrival after acute stroke |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6418151/ https://www.ncbi.nlm.nih.gov/pubmed/30872570 http://dx.doi.org/10.1038/s41467-019-09073-5 |
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